在2型糖尿病的医疗保险受益者中,粮食不安全和血糖目标
McKayla Massey1, Morgan P Stewart2, Jacqueline B LaManna3
1College of Medicine, University of Central Florida, Orlando, FL, USA.
Chronic illness
|November 30, 2023
概括
粮食不安全与2型糖尿病的老年人血糖控制较差有关. 解决粮食不安全问题可能会改善该人口的血糖管理.
科学领域:
- 糖尿病管理 糖尿病管理
- 公共卫生 公共卫生
- 老年学是一门学科.
背景情况:
- 血糖控制对于管理2型糖尿病和预防并发症至关重要.
- 粮食不安全,定义为缺乏持续获得足够的食物,是脆弱人群,包括老年人,日益关注的问题.
研究的目的:
- 调查食品不安全性与2型糖尿病的医疗保险受益人中血糖目标的实现之间的联系.
- 在这个人群中确定与低于最佳的血糖控制相关的人口因素.
主要方法:
- 分析了2019年医疗保险当前受益者调查数据,其中包括1340名65岁以上的2型糖尿病受益者.
- 使用二元结果进行血糖控制 (A1C ≤7.5%或平均禁食血糖≤140 mg/dL).
- 采用了调查加权的多变量物流模型来评估粮食不安全和社会人口统计因素对血糖控制的影响.
主要成果:
- 20.9%的受益人没有达到血糖目标.
- 粮食不安全与高于目标血糖水平 (33.4%与19.1%) 的更高患病率显著相关.
- 女性和没有高中学历的个人也表现出更高的失控血糖的流行率.
结论:
- 在2型糖尿病的医疗保险受益者中,在实现血糖目标方面存在显著的社会人口统计差异.
- 粮食不安全成为与低血糖控制相关的关键因素.
- 常规查粮食不安全和实施有针对性的干预措施是建议糖尿病患者的风险.
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